Provider Demographics
NPI:1427202365
Name:TREFZ, LEAH MICHELLE (OTR/L)
Entity Type:Individual
Prefix:
First Name:LEAH
Middle Name:MICHELLE
Last Name:TREFZ
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CMR 402 BOX 1712
Mailing Address - Street 2:
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09180-0018
Mailing Address - Country:US
Mailing Address - Phone:304-685-4301
Mailing Address - Fax:
Practice Address - Street 1:LANDSTUHL ARMY WELLNESS CENTER BLDG 3749
Practice Address - Street 2:
Practice Address - City:LANDSTUHL
Practice Address - State:GERMANY
Practice Address - Zip Code:66849
Practice Address - Country:DE
Practice Address - Phone:314-590-5881
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-05
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX112826171000000X, 225X00000X
OR241299225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No171000000XOther Service ProvidersMilitary Health Care Provider